Individual
DENNIS DORR WEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-5755
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
153464
CA
2084P0800X
Psychiatry Physician
25488
AZ
2084P0800X
Psychiatry Physician
MD25776
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225016561
GROUP NPI #
OR
01
—
930593249
GROUP TAX ID #
OR
Enumeration date
02/23/2007
Last updated
05/11/2023
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